Return Physical Activities After Total Knee Arthroplasty

Cincinnati Sportsmedicine Research and Education Foundation

Status: Completed

Conditions: Total Knee Arthroplasty

Treatments: Procedure: Total knee arthroplasty

Study type: Observational

Funder types: Other

Identifiers

NCT04746144

TKRActivity13-15

Details and patient eligibility

About

The ability to resume physical activities, aerobic fitness and a healthy lifestyle without symptoms after total knee arthroplasty (TKA) remains unclear because studies show high rates of patient dissatisfaction. The aim of this study was to evaluate whether an individualized goal-centered rehabilitation protocol leads to high patient-reported physical activities and satisfaction after TKA.

Full description

A prospective study was conducted in patients who underwent primary TKA (Journey II, Smith & Nephew) from the same surgeon from July 1, 2013 to December 31, 2015. Patients completed patient-reported outcome measures (PROMs) before the operation and then at 1, 2, and 4 years postoperatively.These included the Knee Injury and Osteoarthritis Outcome Joint Replacement Survey (KOOS JR) 7-item score; questions from the Cincinnati Knee Rating System related to the overall knee condition, pain, and swelling; selected questions from the Veterans RAND 12-Item Health Survey; questions about general fitness level; and questions regarding patient expectations before and after surgery. Patients were asked to list all physical, recreational, and work activities they participated in after surgery. An experienced research associate interviewed the patients postoperatively, with data reduction and patient ratings blinded to the treating surgeon and therapist.

Enrollment: 51 patients

Sex: All

Ages: Under 69 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age < 70 years
• Patient goals to return to recreational and occupational activities
• Agree to participate in a postoperative rehabilitation and home exercise program

Exclusion criteria

• Osteoarthritis in other joints
• Co-morbidities limiting physical activity
• Presence of a connective tissue disease
• Autoimmune disease or immune deficiency
• Age 70 years or more
• no desire to return to recreational and work activities
• Refusal to participate in rehabilitation program